Tradução e adaptação transcultural do transition questionnaire para uso no Brasil

Abstract

Premature birth and low birth weight are public health problems that are increasing the morbidity and mortality of children worldwide. They are the main causes of neonatal death. However, technologies were developed over time so that newborns could have greater chances of survival and consequent discharge from hospital. Preparing for discharge is extremely important for health promotion and prevention of readmissions and child death. The immediate period after hospital discharge is a transitional period for parents, especially difficult because there are at least two major changes happening: the transition to fatherhood/motherhood and the transition from hospital to home, both extremely challenging. As there is no adequate measurement tool in Brazil that considers all the multidimensionality of the problems faced by the parents of premature infants during this transition, this study aimed to perform the translation and cross-cultural adaptation for use in Brazil of the Transition Questionnaire, an idealized instrument. in the United States by Nurse Profa. Dr. Carolle Kenner and colleagues. Prior authorization was obtained from the author of the original version of the instrument. A methodological study with a quantitative approach was developed. The six steps recommended by Beaton et.al. (2007) for cross-cultural adaptation were performed: initial translation, synthesis of translations, back-translation, evaluation by a committee of judges, pretesting and submission of the pre-final version to the author / coordinator of the translation. All steps of the translation and adaptation of the instrument were placed in frames for better visualization of the suggestions made by the three translators and two back-translators, as well those made by the five judges as semantic equivalence, idiomatic, experimental and conceptual equivalences, and those suggested by the main researcher. of this study. The translations generated by one and two translators were analyzed by three translator and a synthesis version (T12) was generated. Both back-translations were consistent, and demonstrated the mastery of the two back-translations over the two languages involved. The pre-test data collection was performed with mothers and fathers of preterm infants who were admitted to the “MEAC UTIN” in Fortaleza-CE, while waiting for follow-up consultations of babies after hospital discharge during April 2019. The resulting version of the previous steps was presented to them and they considered the research extremely relevant and easy to understand in general, but they pointed out some items as “not understanding”. All suggestions made by more than half of the target audience for each item were considered pertinent, giving rise to the “pre-final” Transition Questionnaire for the Portuguese language of Brazil, which was sent to the author of the original instrument, who approved the version. The TQ adapted to Brazilian language version was the first step for the wide application of the instrument in public and private highrisk neonatal care services in the country, however it still needs to undergo validation and analysis of its psychometric characteristics. This research obeyed the Resolution Nº. 466/12 of the National Health Council / Ministry of Health